Provider Demographics
NPI:1144588435
Name:KHO, BRIAN FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:FREDERICK
Last Name:KHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1579 MONROE DR NE
Mailing Address - Street 2:STE. F611
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5039
Mailing Address - Country:US
Mailing Address - Phone:562-502-7426
Mailing Address - Fax:
Practice Address - Street 1:1579 MONROE DR NE
Practice Address - Street 2:STE. F611
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5039
Practice Address - Country:US
Practice Address - Phone:562-502-7426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11536900207P00000X
GA74040207P00000X
PAMT201076207P00000X
PAMD477256207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine